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�, ,,.� , '3 <br /> CHAIN DF--EU TODY� , ��CORD <br /> Geological Audit Services , Inc . D eZ-//-�3 P 9eof <br /> ��� <br /> El7Vll'Onmei7la Professionals <br /> i�MEW 1803 West March Lane, Suite A-Stockton, California-95207-(209)956-0264 <br /> Client / Project Manager Tests Required <br /> �L "/vlili(V YVG�w /`j Phone Number /Samplers: (Si nature) / Invoice: <br /> G <br /> ��� <br /> Project Name eoAudit�v n v <br /> Client ❑ <br /> Sample Location Sample TypeDTime No. of <br /> ate <br /> Number Description Water Air Solid Conts. Notes <br /> Comp. Grab. / <br /> L31-115 f'yp" 4A I <br /> 2, ZO Y//6 b <br /> 3" PAJ 3 1 /S' 2-16-13 <br /> ZO �vhi�u� 20 2-16 J <br /> Relin a ure ec y: ig ature D t <br /> Rel' quished by: (Signature) Recei by: (Sign tura) <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Date/Time <br /> Method of Shipment: Lab oratpry Na <br /> Special Instructions: I her/e�/bjG//afu/lthor' a the performance of the above indicated work. <br />